Socorro School Based Health Center | |
1200 Michigan Street Socorro NM 87801 | |
(505) 863-2847 | |
Not Available |
Full Name | Socorro School Based Health Center |
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Speciality | Clinic/Center |
Location | 1200 Michigan Street, Socorro, New Mexico |
Authorized Official Name and Position | Doug Smith (EXECUTIVE VICE PRESIDENT) |
Authorized Official Contact | 5059825565 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Socorro School Based Health Center Po Box 2267 Santa Fe NM 87504-2267 Ph: (505) 982-5565 | Socorro School Based Health Center 1200 Michigan Street Socorro NM 87801 Ph: (505) 863-2847 |
NPI Number | 1215284146 |
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Provider Enumeration Date | 08/09/2012 |
Last Update Date | 01/09/2021 |
Medicare PECOS PAC ID | 2062324684 |
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Medicare Enrollment ID | O20130701000048 |
Identifier | Type | State | Issuer |
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1215284146 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Secondary |
261QS1000X | Clinic/center - Student Health | (* (Not Available)) | Primary |
Socorro Community Health Cntr Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1300 Enterprise, Socorro, NM 87801 Phone: 505-835-4444 Fax: 505-835-1010 | |
Desert Herbals Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 205b School Of Mines Rd, Socorro, NM 87801 Phone: 575-835-4787 Fax: 575-835-4787 | |
Bhasker Medical Clinic Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 200 Neel Ave, Socorro, NM 87801 Phone: 575-835-2940 Fax: 575-835-2216 |